Trekova N A
Anesteziol Reanimatol. 2013 Mar-Apr(2):6-10.
Basic principles of anaesthesia management in cardiac and aortic surgery, elaborated in the Department of cardioan aesthesia of Petrovsky National Research Centre of Surgery are presented and discussed. Clinical, instrumental and laboratory data helped us to mark out main aspects of anaesthesia safety and efficacy improvement in cardiac surgery patients. These include: complex preoperative preparation for heart failure degree reduction, drugs selection for balanced anaesthesia, enhanced homeostasis monitoring, the effective protection of myocardium, brain and spinal cord, internal organs, pharmacological and mechanical cardiovascular support, haemostasis optimization etc.
介绍并讨论了彼得罗夫斯基国家外科研究中心心脏麻醉科阐述的心脏和主动脉手术麻醉管理的基本原则。临床、仪器和实验室数据帮助我们明确了改善心脏手术患者麻醉安全性和有效性的主要方面。这些方面包括：为减轻心力衰竭程度进行的复杂术前准备、平衡麻醉药物的选择、加强内环境稳定监测、对心肌、脑和脊髓、内脏器官的有效保护、药理学和机械性心血管支持、止血优化等。
